Evidence map›Paper›PMID 33863808›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2021

Modified RANO, Immunotherapy RANO, and Standard RANO Response to Convection-Enhanced Delivery of IL4R-Targeted Immunotoxin MDNA55 in Recurrent Glioblastoma.

Benjamin M Ellingson, John Sampson, Achal Singh Achrol, Manish K Aghi, Krystof Bankiewicz, Chencai Wang, Martin Bexon, Steven Brem, Andrew Brenner, Sajeel Chowdhary and 11 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02858895 (An Open-Label Non-Randomized, Multi-Center Phase-2 Study of Convection-Enhanced Delivery), which is not on this map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02858895 phase2completednot on this map

An Open-Label Non-Randomized, Multi-Center Phase-2 Study of Convection-Enhanced Delivery (CED) of MDNA55 in Adults With Recurrent or Progressive Glioblastoma

TypeinterventionalSponsorMedicenna Therapeutics, Inc.Ran2017 to 2019Enrolled47ConditionsGlioblastoma, Grade IV Astrocytoma, Glioblastoma Multiforme, Grade IV GliomaArmsMDNA55
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. CAR T-cell therapy induced pseudoprogression.Frontiers in immunology · 2026
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Resolving spatial response heterogeneity in glioblastoma.European journal of nuclear medicine and molecular imaging · 2024
    Article
  11. Review
  12. Article
  13. Review
  14. Updated Response Assessment in Neuro-Oncology (RANO) for Gliomas.Current neurology and neuroscience reports · 2024
    Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors at 12 institutions in 3 countries.

Benjamin M EllingsonUCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California. bellingson@mednet.ucla.edu.ORCID 0000-0002-2764-6640
John SampsonDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Achal Singh AchrolDepartment of Neurosurgery, Loma Linda University Medical Center, Loma Linda, California.
Manish K AghiDepartment of Neurological Surgery, University of California San Francisco, San Francisco, California.
Krystof BankiewiczDepartment of Neurological Surgery, Ohio State University College of Medicine, Columbus, Ohio.
Chencai WangUCLA Brain Tumor Imaging Laboratory (BTIL), Center for Computer Vision and Imaging Biomarkers, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.
Martin BexonMedicenna BioPharma, Houston, Texas.
Steven BremDepartment of Neurosurgery, Glioblastoma Translational Center of Excellence, Penn Brain Tumor Center, Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-5803-8920
Andrew BrennerUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas.ORCID 0000-0002-3985-253X
Sajeel ChowdharyMarcus Neuroscience Institute and Neuro-Oncology Program, Boca Raton Regional Hospital, Boca Raton, Florida.
John R FloydUniversity of Texas Health Science Center at San Antonio, San Antonio, Texas.
Seunggu HanDepartment of Neurological Surgery, Oregon Health & Science University, Portland, Oregon.
Santosh KesariDepartment of Translational Neurosciences and Neurotherapeutics, Pacific Neurosciences Institute, Santa Monica, California.
Dina RandazzoDepartment of Neurosurgery, Duke University Medical Center, Durham, North Carolina.
Michael A VogelbaumDepartment of Neuro-Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida.
Frank VrionisMarcus Neuroscience Institute and Neuro-Oncology Program, Boca Raton Regional Hospital, Boca Raton, Florida.
Miroslaw ZabekDepartment of Neurosurgery, Mazovian Brodnowski Hospital, Warsaw, Poland.
Nicholas ButowskiDepartment of Neurological Surgery, University of California San Francisco, San Francisco, California.
Melissa CoelloMedicenna BioPharma, Houston, Texas.ORCID 0000-0002-3569-137X
Nina MerchantMedicenna BioPharma, Houston, Texas.ORCID 0000-0003-0776-7178
Fahar MerchantMedicenna BioPharma, Houston, Texas.
CTI BioPharma (Italy) · ITBoca Raton Regional Hospital · USCentral Clinical Hospital · PLDuke University · USThe University of Texas Health Science Center at San Antonio · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USLoma Linda University Medical Center · USMoffitt Cancer Center · USNeurosciences Institute · USOregon Health & Science University · USUniversity of Pennsylvania · US

Funding

UCLA SPORE in Brain CancerP50CA211015 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Yvonne Yu-Hsuan Chen · 2017 to 2026
$25.2M
Tumor cell and microenvironment changes causing antiangiogenic therapy resistanceR01NS079697 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AGHI, MANISH · 2013 to 2021
$3.2M
Modeling and druggable-genome screening of glioblastoma invasion using regional biopsy-guided biomaterials systemsR01CA227136 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AGHI, MANISH · 2018 to 2022
$2.2M
Metabolic MRI for quantifying aerobic glycolysis and immune function in gliomasR21CA223757 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ELLINGSON, BENJAMIN M. · 2018 to 2019
$366k
EPA EP-C-15-003NCI NIH HHS P50 CA211015NCI NIH HHS R21 CA223757NINDS NIH HHS R01 NS079697
6 · The paper itself

Abstract

purposeThe current study compared the standard response assessment in neuro-oncology (RANO), immunotherapy RANO (iRANO), and modified RANO (mRANO) criteria as well as quantified the association between progression-free (PFS) and overall survival (OS) in an immunotherapy trial in recurrent glioblastoma (rGBM). PATIENTS AND

methodsA total of 47 patients with rGBM were enrolled in a prospective phase II convection-enhanced delivery of an IL4R-targeted immunotoxin (MDNA55-05, NCT02858895). Bidirectional tumor measurements were created by local sites and centrally by an independent radiologic faculty, then standard RANO, iRANO, and mRANO criteria were applied.

resultsA total of 41 of 47 patients (mean age 56 ± 11.7) were evaluable for response. PFS was significantly shorter using standard RANO compared with iRANO (log-rank,

conclusionsNo correlation between radiographic PFS and OS was observed for standard RANO or iRANO, but a correlation was observed between PFS and OS using the mRANO criteria. Also, the iRANO criteria was difficult to implement due to need to confirm progression 3 months after initial progression, censoring more than half the patients.

Indexed as

AdultAgedDisease-Free SurvivalFemaleGlioblastomaHumansImmunotherapyImmunotoxinsInterleukin-4 Receptor alpha SubunitMaleMiddle AgedNeoplasm Recurrence, LocalNervous System NeoplasmsProspective StudiesSurvival RateTreatment OutcomeIL4R protein, humanImmunotoxinsInterleukin-4 Receptor alpha Subunit

Identifiers

PMID33863808
PMCPMC8282697
OpenAlexW3153537663

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.